Billing Specialist
hace 13 días
Clinton
Job Description See your work in a new light. At LUX Infusion, we're reimagining infusion care to be more human, supportive, and connected. Inspired by lux—meaning light - we guide patients, providers, and partners through complex therapies with clarity, compassion, and confidence. As a clinician-led, U.S.-based organization, we put people first - helping patients feel seen and supported through faster therapy starts, dedicated care coordination, and meaningful collaboration. Our commitment to inclusion, diversity, equity, and advancement (IDEA) is central to our culture, ensuring every team member feels valued and empowered to make a difference. Schedule: Monday–Friday, 8:00 AM–5:00 PM EST Location: On‑site — Syracuse, NY See Your Work in a New Light At LUX Infusion, we believe infusion care deserves more light — more warmth, more clarity, and more connection. That commitment extends beyond clinical care to the financial processes that ensure patients can begin and continue therapy without unnecessary barriers. We're looking for a Billing Specialist who wants their work to mean something — someone who brings accuracy, accountability, and purpose to the reimbursement process that supports patient access to care. Why This Role Matters Billing accuracy and timeliness are essential to keeping patients on therapy and ensuring care teams can focus on what matters most — the patient. The Billing Specialist plays a critical role in verifying reimbursement data, submitting clean claims, and resolving payments appropriately. In this role, you'll contribute to work that: • Helps patients maintain uninterrupted access to infusion therapy, • Supports clinicians and operations teams through reliable revenue‑cycle execution, • Ensures compliance with payer contracts and reimbursement standards, • Strengthens a patient‑first, clinician‑led organization focused on outcomes Behind every successful infusion is a billing process that works — and this role helps make that happen. What You'll Do In this role, you will: • Prepare and submit insurance claims for home infusion services, including medications, nursing, and supplies, • Process electronic pharmacy claims to Medicare Part D, Medicaid, and commercial insurance plans, • Verify that all prescription reimbursement data is complete, accurate, and entered timely prior to weekly and month‑end close, • Confirm documentation aligns with billed services, codes, and expected reimbursement, • Review payments received and apply them accurately to patient accounts through final resolution, • Maintain a strong understanding of payer contracts, coverage criteria, and reimbursement guidelines, • Address billing inquiries and resolve discrepancies with professionalism and clarity, • Stay current on billing regulations, coding guidelines, and payer requirements, • Work with clearinghouses and billing systems to support clean claims and efficient workflows, • Assist with data entry, administrative, and clerical billing tasks as neededWhat We're Looking For You may be a great fit if you bring: • Strong attention to detail and analytical thinking, • A customer‑service mindset paired with financial accuracy, • Comfort working in a fast‑paced, deadline‑driven environment, • Clear written and verbal communication skills, • Ownership and care in work that directly affects patient access Required Qualifications • High school diploma or GED, • Minimum of two (2) years of experience in medical billing and collections, • Experience providing customer service to internal and external stakeholders, • Basic proficiency with Microsoft Office (Word, Excel, PowerPoint) Preferred Qualifications • Five (5) or more years of medical billing and collections experience, • Prior home infusion therapy billing experience, • Experience with CareTend, CPR+, or similar billing systems You don't need to check every box — we care just as much about how you approach your work as what's on your resume. Why LUX Infusion At LUX Infusion, we believe care deserves more light — more warmth, more clarity, and more connection. Here, you'll find: • Purpose‑driven work that directly supports patient access to care, • A patient‑first, clinician‑led culture, • Collaborative revenue cycle, pharmacy, and operations teams, • Flexibility through on‑site or remote work options, • Opportunities to grow with a company building something meaningful Come help ensure accuracy supports access — and see what's possible when care comes first. Pay Range/Rate $26—$28 USD PHYSICAL DEMANDS The physical demands described here represent those required for an employee to successfully perform the essential functions of this role. Reasonable accommodations may be made to enable individuals with disabilities to perform these functions. If you require a reasonable accommodation during the application or interview process, please contact the LUX Infusion Talent Team at Careers@LUXInfusion.com or 954.385.7322 x 1425. While performing the duties of this position, the employee may occasionally be required to stand, walk, or sit; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch, or crawl; and talk or hear. The employee may also be required to occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this role include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. OTHER REQUIREMENTS Employees are expected to: • Participate annually in required legal and ethical compliance training, • Consistently act in compliance with LUX Infusion's legal, ethical, and compliance policies, • Adhere to all standards and procedures outlined in the LUX Infusion Compliance Manual, • Refrain from any behavior that could be considered unethical or unlawfulEXPECTATIONS FOR ALL EMPLOYEES All LUX Infusion team members are expected to support the organization's mission, vision, and values by demonstrating integrity, dedication, compassion, and enthusiasm. This includes placing patients first, working collaboratively with a "stacked‑hands" mindset, and maintaining a consistent focus on quality, accountability, and continuous improvement. GENERAL INFORMATION The statements above are intended to describe the general nature and level of work performed by individuals in this role. They are not intended to be an exhaustive list of all responsibilities, duties, or skills required. This role operates in a fast‑paced environment and requires the ability to prioritize competing demands, manage multiple tasks effectively, and seek guidance when appropriate. Employees in this position may be required to assist directly - or coordinate appropriate assistance - to ensure access to LUX Infusion's services for individuals with disabilities, including patients, visitors, employees, or others. LUX Infusion is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other characteristic protected by law.
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